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Postoperative analgesia using fentanyl plus celecoxib versus epidural anesthesia after laparoscopic colon resection

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Please use this identifier to cite or link to this item:http://hdl.handle.net/2115/68259

Title: Postoperative analgesia using fentanyl plus celecoxib versus epidural anesthesia after laparoscopic colon resection
Authors: Yoshida, Tadashi Browse this author →KAKEN DB
Homma, Shigenori Browse this author →KAKEN DB
Shibasaki, Susumu Browse this author
Shimokuni, Tatsushi Browse this author
Sakihama, Hideyasu Browse this author →KAKEN DB
Takahashi, Norihiko Browse this author
Kawamura, Hideki Browse this author →KAKEN DB
Taketomi, Akinobu Browse this author →KAKEN DB
Keywords: Anesthesia
Laparoscopy
Colon
Issue Date: Feb-2017
Publisher: Springer
Journal Title: Surgery today
Volume: 47
Issue: 2
Start Page: 174
End Page: 181
Publisher DOI: 10.1007/s00595-016-1356-y
PMID: 27194126
Abstract: Purpose: Effective postoperative analgesia is essential to a patient’s recovery after laparoscopic colon resection (LCR). We introduce a new analgesic protocol using fentanyl plus celecoxib following LCR. Methods: The subjects of this retrospective comparative study were 137 patients who underwent LCR, 63 of whom were treated with 72 h of epidural anesthesia (group E), and 74 of whom were treated with 24 h of fentanyl intravenous injection followed by 7 days of oral celecoxib (group FC). We evaluated the safety and efficacy of this new protocol. Results: The combination of fentanyl and celecoxib maintained a low postoperative pain score (<1.5, evaluated by the FACES Pain Scale) and reduced the need for rescue analgesic drugs for 7 days (groups E vs. FC: 5.39 ± 3.77 vs. 2.79 ± 2.92, p < 0.001). The postoperative hospital stay was almost equal for the two groups (E vs. FC: 11.1 ± 4.5 vs. 10.3 ± 4.8 days, p = 0.315). The operating room stay other than for surgery was significantly shorter for group FC (E vs. FC: 128.7 ± 30.5 vs. 107.2 ± 17.0 min, p < 0.001). Neither group experienced complications, apart from one group FC patient, who suffered transient nausea and vertigo. Conclusions: The new analgesic protocol using fentanyl plus celecoxib is an effective and time-saving strategy for LCR.
Rights: The final publication is available at Springer via http://dx.doi.org/10.1007/s00595-016-1356-y
Type: article (author version)
URI: http://hdl.handle.net/2115/68259
Appears in Collections:北海道大学病院 (Hokkaido University Hospital) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)

Submitter: 吉田 雅

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